Individual provider Active NPI

Susanne One Love, RN

  • Ambulatory Women's Health Care Registered Nurse
  • Flagstaff, AZ
National Provider Identifier
1508560574
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
RN152849 Issued in AZ
Practice address
3103 Toho TRL
Flagstaff, AZ 86005-3778
Phone
(928) 856-9265
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN152849 AZ
General Practice Registered Nurse 163WG0000X RN152849 AZ
Maternal Newborn Registered Nurse 163WM0102X RN152849 AZ
Pain Management Registered Nurse 163WP0000X RN152849 AZ
Ambulatory Care Registered Nurse 163WP2201X RN152849 AZ
Orthopedic Registered Nurse 163WX0800X RN152849 AZ
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN152849 AZ Primary

Addresses

Primary practice location

3103 Toho TRL
Flagstaff, AZ 86005-3778

Mailing address

3103 Toho TRL
Flagstaff, AZ 86005-3778
Phone (928) 856-9265

Other practice location 1

62295 Chu Chu Ln
Montrose, CO 81403-7952
Phone (928) 856-9265

Other practice location 2

1310 S 15th Ave
Phoenix, AZ 85007-3826
Phone (928) 856-9265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN152849AZMDAmbulatory Women's Health Care Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1508560574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 TOHO TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860053778",
            "telephone_number": "928-856-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 TOHO TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860053778",
            "telephone_number": "928-856-9265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62295 Chu Chu Ln",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814037952",
            "country_code": "US",
            "telephone_number": "928-856-9265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 S 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850073826",
            "country_code": "US",
            "telephone_number": "928-856-9265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONE LOVE",
        "first_name": "SUSANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "RN152849",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN152849",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "AZ",
            "license": "RN152849",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "AZ",
            "license": "RN152849",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AZ",
            "license": "RN152849",
            "primary": false
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "AZ",
            "license": "RN152849",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "AZ",
            "license": "RN152849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.